Literature DB >> 11283138

Breaking bad news about cancer: patients' preferences for communication.

P A Parker1, W F Baile, C de Moor, R Lenzi, A P Kudelka, L Cohen.   

Abstract

PURPOSE: The goal of this study was to assess patients' preferences regarding the way in which physicians deliver news about their cancer diagnosis and management. PATIENTS AND METHODS: A sample of 351 patients with a variety of cancers completed a measure assessing their preferences for how they would like to be told news about their cancer. Patients rated characteristics of the context and content of the conversation as well as physician characteristics.
RESULTS: Factor analysis indicated that patients' preferences for how they would like to be told news regarding their cancer can be grouped into the following three categories: (1) content (what and how much information is told); (2) facilitation (setting and context variables); and (3) support (emotional support during the interaction). Women (P =.02) and patients with higher education (P =.05) had significantly higher scores on the Content scale, women (P =.02) had higher scores on the Support scale, and younger patients (P =.001) and those with more education (P =.02) had higher scores on the Message Facilitation scale. Medical variables were not associated with patients' ratings of the importance of the three subscales.
CONCLUSION: Patients rated items addressing the message content as most important, though the supportive and facilitative dimensions were also rated highly. Understanding what is important to patients when told news about their cancer provides valuable information that may help refine how this challenging task is best performed.

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Year:  2001        PMID: 11283138     DOI: 10.1200/JCO.2001.19.7.2049

Source DB:  PubMed          Journal:  J Clin Oncol        ISSN: 0732-183X            Impact factor:   44.544


  74 in total

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2.  Communication preferences and needs of cancer patients: the importance of content.

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Review 3.  Cultural aspects of communication in cancer care.

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Review 4.  Current state of the art and science of patient-clinician communication in progressive disease: patients' need to know and need to feel known.

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Journal:  J Clin Oncol       Date:  2014-09-29       Impact factor: 44.544

5.  Effect of advanced cancer patients' awareness of disease status on treatment decisional conflicts and satisfaction during palliative chemotherapy: a Korean prospective cohort study.

Authors:  Sun Kyung Baek; Si-young Kim; Dae Seog Heo; Young Ho Yun; Myung Kyung Lee
Journal:  Support Care Cancer       Date:  2011-07-01       Impact factor: 3.603

6.  [Communication preferences of patients with chronic back pain in medical rehabilitation].

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7.  Students meeting with caregivers of cancer patient: results of an experience-based learning project.

Authors:  Beste M Atasoy; Ozlem Sarikaya; M Kemal Kuscu; Merve Yondem; Elif Buyukkara; E Gokcen Eken; Figen Kahyaoglu
Journal:  J Cancer Educ       Date:  2012-12       Impact factor: 2.037

8.  Breaking bad news-what patients want and what they get: evaluating the SPIKES protocol in Germany.

Authors:  C Seifart; M Hofmann; T Bär; J Riera Knorrenschild; U Seifart; W Rief
Journal:  Ann Oncol       Date:  2014-02-06       Impact factor: 32.976

9.  Cancer patient preferences for quality and length of life.

Authors:  Neal J Meropol; Brian L Egleston; Joanne S Buzaglo; Al B Benson; Donald J Cegala; Michael A Diefenbach; Linda Fleisher; Suzanne M Miller; Daniel P Sulmasy; Kevin P Weinfurt
Journal:  Cancer       Date:  2008-12-15       Impact factor: 6.860

10.  Breaking bad news issues: a survey among radiation oncologists.

Authors:  Milind Kumar; Shikha Goyal; Karuna Singh; Subhas Pandit; Dn Sharma; Arun K Verma; Gk Rath; Sushma Bhatnagar
Journal:  Indian J Palliat Care       Date:  2009-01
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